Private / Semi Private Registration

Student's Name *

First

Last

Age *

Birth Date *

Parents or Guardian's Names *

Email *

Best Number to Reach You *

Alternate Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Sibling's Name (1) *

First

Last

Sibling's Name (2) *

First

Last

Any Special Needs? *

How did you hear about us? *

Class Selection

Day / Time Selection

1st Choice Time: *

2nd Choice Time: *

1st Choice Day: *

2nd Choice Day *

I agree to abide by the policies of Musical Beginnings *

Yes No

Policies of Musical Beginnings Here

First month's tuition must be paid at registration and will be represented in the 'pay now' option on the next page. You will then have the option to pay in full using our secure online processor or contact us to make payment arrangements prior to the first lesson.

Material fees are due at the first lesson. Please refer to the private lesson web page to locate the material fees for the type of lesson for which you are registering.